Wearing braces introduces unique challenges to maintaining a healthy mouth because brackets and wires create crevices where food particles and plaque easily become trapped. Even careful brushing and flossing struggle to reach all surfaces surrounding the orthodontic hardware. Therefore, mouthwash is a necessary addition to the daily hygiene regimen, acting as a liquid delivery system to cleanse inaccessible areas. Remember that mouthwash is only a supplement to brushing and flossing, not a replacement. A therapeutic rinse helps mitigate the risk of common issues like decalcification, gum inflammation, and bad breath that often accompany orthodontic treatment.
The Essential Ingredients for Braces Wearers
The primary concern for individuals with fixed braces is the development of white spot lesions, which are areas of demineralization on the enamel that appear once the brackets are removed. To combat this, the most beneficial ingredient to seek in a mouthwash is fluoride. Fluoride works by helping to remineralize the enamel, rebuilding the tooth surface where acid-producing bacteria have dissolved minerals. Using a fluoride rinse provides extra protection, especially where brackets make it difficult for fluoride toothpaste to reach effectively.
A common concentration of sodium fluoride in over-the-counter mouthwashes is 0.05%. This concentration is sufficient to bolster the enamel’s resistance against acid attacks. The mineral strengthens the tooth structure, making it more resistant to the acidic byproducts of plaque buildup around orthodontic brackets. Consistent use reduces the risk of permanent white marks that become noticeable after the braces are removed.
Another beneficial ingredient is antiseptics, such as Cetylpyridinium Chloride (CPC), which targets harmful oral bacteria. Braces encourage plaque accumulation, which can lead to gingivitis, or gum inflammation, in hard-to-reach areas. An antiseptic rinse helps control the microbial population, reducing plaque and gingivitis where cleaning is difficult. Studies show that adding a CPC mouth rinse to a regular routine improves overall oral health during orthodontic treatment.
Mouthwash Types to Avoid While Wearing Braces
While many mouthwashes kill germs and freshen breath, some common ingredients are counterproductive for individuals wearing braces. The most significant ingredient to avoid is alcohol, which is included in many popular rinses as a solvent and carrier. Alcohol has a dehydrating effect on oral tissues, leading to mouth dryness.
A dry mouth can worsen irritation caused by the braces, increasing discomfort or contributing to minor sores inside the cheeks and gums. Reduced saliva flow also impairs the mouth’s natural ability to neutralize acids and wash away food debris, counteracting the rinse’s intended benefits. Choosing an alcohol-free formula is a gentler option that supports the moisture balance of the oral environment.
Another consideration is the presence of harsh colorants or dyes, especially for those with ceramic brackets or clear elastic ligatures. While metal or ceramic brackets are typically stain-resistant, the small rubber bands that secure the archwire are susceptible to discoloration. Intensely colored mouthwashes, like certain foods and drinks, can stain these elastics, causing them to take on an undesirable tint between appointments. Opting for a clear or lightly tinted rinse helps preserve the aesthetic appearance of the appliance throughout treatment.
Proper Technique for Rinsing with Braces
To maximize the effectiveness of a therapeutic mouthwash, proper technique is necessary to ensure the liquid reaches all surfaces blocked by the hardware. The optimal time to use the rinse is immediately after thorough brushing and flossing, or at least once daily before going to bed. Rinsing before bed ensures the active ingredients have prolonged contact with the teeth and gums while the mouth is less active overnight.
When rinsing, swish the liquid aggressively and with force, propelling the mouthwash around and under the wires and brackets. This mechanical action dislodges any residual food particles or plaque that the toothbrush may have missed. The recommended duration for vigorous swishing is usually between 30 and 60 seconds, allowing the active ingredients sufficient time to interact with the oral surfaces.
After completing the rinse, resist the urge to immediately follow up with a water rinse. Beneficial components, especially fluoride, need time to stay in contact with the enamel to exert their protective and remineralizing effects. Rinsing with water, or eating and drinking right away, washes away the active ingredients before they can fully integrate with the tooth surface. Wait at least 30 minutes after using the mouthwash before consuming any food or liquids.